HomeMy WebLinkAboutBuilding Permit #12-1106 y ❑❑� c� a�oao =� o N�
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�� �� CITY OF PRIOR LAKE BLTILDING PERMIT, Date Rec d
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
" `�' AND UTILITY CONNECTION PERMIT
�
l �'NES��
' `"""`� F ''� PERMIT NO. �y — �'�
z. r� c�ry
3. Ydlow Applicant
lease or ' and si at bottom
ADDRESS ZONING (ot�ice use)
I"TJ � 4�sI�1,1� C.�Y , 51�'� -�►`` Uv L��.�?-e- lM r� s S 37�
LEGAL DESCRIPTION (og'ice use only)
LOT BLOCK ADDITION PID
(Ai� �7 �7 � � �vl.(,,VY.�,t� �� G-� �- S� (Phone) 9SZ ' 8`7�0 �! UU I
(Acidress) �vi�Jv LE�{'C�. , Wl!/ SS 3 7Z
BUII.DER Budget Exteriors
(Company r g017 Nicollet Ave S. (Phone)
Bloomington, MN 55420
(Contact Na PH: (952) 887-1613 (Phone)
(Address) F: (952) 887-1659
�rE oF woxx p N� co�e� �Deck OPorch �Re-Roofing �Re-Sid'mg �Lower Level Finish ❑ Fireplace
pAddition �Alteration �Utility Connection
CODE: DI.RC. QI�.C. ❑ Misc:
Type of Co�traction: I II III IV V A B � S U�� U U
Occopancy Group: A B E F H I M R S U P80JECT COSTNALUE S �
Dirision: 2 2 3 4 5 (ea ' land)
I heceby oe�tify tUat I have furnuhed information on this application which is to the best of my knowledge true and coirect. I aiso catify dui I am the owner or authonzed agent for the
above-menrioned property and that all construct�on will confmm to all e�dsting state and locai lawrs and wli proceed 'm acoordanc� with submitted plans. I am aware that the buiiding
official this ' cause. Furt6ermore, I hereby agree that the city official or a designee may enter upon the property to perform �eded inspections.
X �CiQ�(1� SC.�' y / �� 0 � ��"
Signature Cantractar's Lioense No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ Pressure Reducer $
Penalty $ Sewer/Water Connecrion Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit S
Sewer & Water Permit Fee $ Other $
Gas Fireplace Pernut Fee $ TOTAL DiTE $ ,'7�
'rhis application Be�mes Yoia Bw7ding Pezmit wt�n Approved Paid Rece' o
Date B
Buildin Officist Date
1Tiis is m certify that the request in the above applicatwn and a000m�nying documenis is in acoordaaa with the C,ity Zqping Ord'mance and may proceed as reqoested. 1Lis document
when sign� by the Ciry Planner constitutes a tem�azy Certificate of Zoning compliance and allows oonsaucd� to eoaemence. Before ooaiPancY, a Ce.►tificate of Oaupancy must be
issued.
Planoing Direct� l�te Special C�diti�s, if aay
24 hoar eofice for ail inspections (93Z) 44�-9850, fax (4S2) 447-4243
4646 Dakots Street S.E., Prior Lakc, Minnesota 55372